Tracy Adelle Kidwell, D.O.

NPI #1033197496 in Midwest City, Oklahoma

Provider Information

NPI Number: 1033197496
Entity Type: Individual
Name: Tracy Adelle Kidwell, D.O.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Family Medicine
Credential: D.O.
Enumeration Date: Jan 5, 2006
Last Updated: Jun 10, 2022

Practice Location

Address: 1800 S DOUGLAS BLVD
City: Midwest City
State: Oklahoma
ZIP Code: 73130-6224
Phone: (405) 741-7722

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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